<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415246
Report Date: 08/23/2021
Date Signed: 08/23/2021 03:25:58 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:ODYSSEY PRESCHOOL INCFACILITY NUMBER:
434415246
ADMINISTRATOR:RATNA SANJAYFACILITY TYPE:
850
ADDRESS:100 ADDISON AVENUETELEPHONE:
(650) 678-1842
CITY:PALO ALTOSTATE: CAZIP CODE:
94301
CAPACITY:50CENSUS: 37DATE:
08/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Irish Marthe DinioTIME COMPLETED:
03:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/23/2021 at 12:15pm Licensing Program Analyst (LPA) Morgan Pringle met with Director Irish-Marthe Dinio for an Unannounced Annual Inspection. Three (3) classrooms were toured for a health and safety inspection. There were thirty-seven (37) preschool and toddler children and five (5) teachers present during the inspection. The facility operates from 8:15am – 5:30pm.

The facility has age appropriate materials in all three (3) rooms that are observed to be clean and in good condition. The outdoor spaces are clean and free from hazards and has proper shading for children. All toxins, cleaning products, medications, and hazardous materials were observed to be in inaccessible areas. All sinks and toilets were observed to be clean and in proper working order. The kitchen/food preparation area was observed to be clean and free from hazards. All knives and cleaning products in the kitchen were made inaccessible to children in care.

The facility is operating within its licensed capacity. All proper postings including the menu are made visible to parents and visitors in the front office. A physical census of the children and staff was taken and cross referenced with the sign-in and out log. LPA did not observe any bodies of water at the facility.

LPA obtained a sample of the children’s files and the staff files. All teachers’ files were not complete, and children’s files were observed to be complete. The File and disaster drill log was obtained and is not complete. Director stated that there has not been a drill conducted for 2021.

The following Deficiencies were observed during today’s inspection

· At 1:30pm LPA observed that S1 was missing a full fingerprint clearance

· At 2:14 LPA observed a fire and disaster drill had not been completed in the past six (6) months

Cont on 809-C

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ODYSSEY PRESCHOOL INC
FACILITY NUMBER: 434415246
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2021
Section Cited

1
2
3
4
5
6
7
101174(d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year. This requirement was not met as evidenced by:
8
9
10
11
12
13
14
Based on record review, there has not been a drill in the last 6 months. This poses a potential risk to the health and safety to the children in care
8
9
10
11
12
13
14
Type B
08/23/2021
Section Cited

1
2
3
4
5
6
7
101170 (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption...
8
9
10
11
12
13
14
This requirement was not met as evidenced by: Based on record review S1 does not have a full clearance.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: ODYSSEY PRESCHOOL INC
FACILITY NUMBER: 434415246
VISIT DATE: 08/23/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Director was reminded that ALL staff that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3,000 per person, per incident. Director was reminded of the responsibility as a mandated reporter.

Individual Medical Services (IMS) policy was discussed. This facility provides IMS to children in care. Facility is following IMS plan on file. When any changes to the IMS plan is made, an updated Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

All fire/disaster drills must be conducted every six (6) months and documented. The Director was reminded that any structural changes to the facility or additions to the childcare facility must be reported to Community Care Licensing.

Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

This report was read and given to the Director for a signature. There are two (2) deficiencies being cited today. This report shall remain on file for three (3) years. Appeal Rights were provided and exit interview conducted. A Notice of Site visit was given and must be posted for 30 days.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3